Korean J Med.  2015 Mar;88(3):299-302. 10.3904/kjm.2015.88.3.299.

Transvenous Implantation of a DDDR Pacemaker in a Patient with Extracardiac Conduit Fontan Circulation

• Chun KH
• Uhm JS
• Lee SE
• Seo J
• Yang PS
• Choi JH
• Kim NK

• KMID: 2082590
• DOI: http://doi.org/10.3904/kjm.2015.88.3.299

Abstract

As the survival rate of patients with complex congenital heart disease has improved and the number of adult patients with congenital heart disease has risen, arrhythmias and heart failure have become important issues in these patients. Cardiac implantable electronic devices, including pacemakers, are also on the rise. Transvenous implantation or epicardial pacemaker implantation is challenging in patients with complex congenital heart disease. Here we report a case in which a dual-chamber pacing, dual-chamber sensing, dual response and rate-adaptive (DDDR) pacemaker was implanted transvenously into a patient with congenital heart disease. A 34-year-old male with extracardiac conduit Fontan circulation complained of dizziness; an electrocardiogram revealed junctional bradycardia. We performed transvenous implantation of a DDDR pacemaker via trans-conduit puncture. In conclusion, transvenous implantation of a pacemaker is feasible in patients with extracardiac conduit Fontan circulation.

Keyword

Cardiac pacemaker, artificial; Sick sinus syndrome; Fontan procedure

MeSH Terms

Adult
Arrhythmias, Cardiac
Bradycardia
Dizziness
Electrocardiography
Fontan Procedure
Heart Defects, Congenital
Heart Failure
Humans
Male
Pacemaker, Artificial
Punctures
Sick Sinus Syndrome
Survival Rate